JMIRx med最新文献_第9页

Authors’ Response to Peer Reviews of “Sexual Health Assessment Is Vital to Whole Health Models of Care” 作者对《性健康评估对整个健康护理模式至关重要》同行评议的回应

JMIRx med Pub Date : 2022-07-28 DOI: 10.2196/40159

Alex Uzdavines, D. Helmer, Juliette F. Spelman, K. Mattocks, Amanda M Johnson, John F Chardos, K. Lynch, M. Kauth

引用次数: 0

Sexual Health Assessment Is Vital to Whole Health Models of Care. 性健康评估对整体健康护理模式至关重要。

JMIRx med Pub Date : 2022-07-28 DOI: 10.2196/36266

Alex Uzdavines, Drew A Helmer, Juliette F Spelman, Kristin M Mattocks, Amanda M Johnson, John F Chardos, Kristine E Lynch, Michael R Kauth

{"title":"Sexual Health Assessment Is Vital to Whole Health Models of Care.","authors":"Alex Uzdavines, Drew A Helmer, Juliette F Spelman, Kristin M Mattocks, Amanda M Johnson, John F Chardos, Kristine E Lynch, Michael R Kauth","doi":"10.2196/36266","DOIUrl":"https://doi.org/10.2196/36266","url":null,"abstract":"Sexual health is the state of well-being regarding sexuality. Sexual health is highly valued and associated with overall health. Overall health and well-being are more than the absence of disease or dysfunction. Health care systems adopting whole health models of care need to incorporate a holistic assessment of sexual health. This includes assessing patients' sexual orientation and gender identity (SOGI). If health systems, including but not limited to the Veterans Health Administration (VHA), incorporate sexual health into whole health they could enhance preventive care, promote healthy sexual functioning, and optimize overall health and well-being. Assessing sexual health can give providers important information about a patient's health, well-being, and health goals. Sexual concerns or dysfunction may also signal undiagnosed health conditions. Additionally, collecting SOGI information as part of a sexual health assessment would allow providers to address problems that drive disparities for lesbian, gay, bisexual, transgender, queer, and similar minority (LGBTQ+) populations. Health care providers do not routinely assess sexual health in clinical practice. One barrier is a gap in communication between patients and providers. Providers cite beliefs that patients will bring up sexual concerns themselves or might be offended by discussing sexual health. Patients often report an expectation that providers will bring up sexual health and being comfortable discussing sexual health with their providers. Within the VHA, the lack of a sexual health template within the electronic health record (EHR) adds an additional barrier. The VHA's transition toward whole health and updates to its EHR provide unique opportunities to integrate sexual health assessment into routine care. We highlight system modifications to address this within the VHA. These examples may be helpful for other health care systems interested in moving toward whole health. It will be vital for health care systems integrating a whole health approach to develop both practical and educational interventions to address the communication gap. These interventions will need to target both providers and patients in health care systems that transition to a whole health model of care, not just the VHA. Both the communication gap between providers and patients, and the lack of support within some EHR systems for sexual health assessment are barriers to assessing sexual health in primary care clinics. Routine sexual health assessment would benefit patient well-being and present an opportunity to address health disparities for LGBTQ+ populations. Health care systems (ie, both the VHA and other systems) can overcome these barriers by implementing educational interventions and updating their EHRs and back-end data structures. VHA's expertise in developing and implementing health education interventions and EHR-based quality improvements may help inform interventions beyond VHA.","PeriodicalId":73558,"journal":{"name":"JMIRx med","volume":"3 3","pages":"e36266"},"PeriodicalIF":0.0,"publicationDate":"2022-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10414374/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41169311","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Peer Review of “Sexual Health Assessment Is Vital to Whole Health Models of Care” “性健康评估对整个健康护理模式至关重要”的同行评议

JMIRx med Pub Date : 2022-07-28 DOI: 10.2196/40301

引用次数: 1

Are We Sure We Fully Understand What an Infodemic Is? A Global Perspective on Infodemiological Problems. 我们确定完全了解什么是信息时代吗？从全球视角看待信息虚拟学问题。

JMIRx med Pub Date : 2022-07-21 eCollection Date: 2022-07-01 DOI: 10.2196/36510

Alessandro Rovetta, Lucia Castaldo

{"title":"Are We Sure We Fully Understand What an Infodemic Is? A Global Perspective on Infodemiological Problems.","authors":"Alessandro Rovetta, Lucia Castaldo","doi":"10.2196/36510","DOIUrl":"10.2196/36510","url":null,"abstract":"Infodemic is defined as an information epidemic that can lead to engaging in dangerous behavior. Although the most striking manifestations of the latter occurred on social media, some studies show that dismisinformation is significantly influenced by numerous additional factors, both web-based and offline. These include social context, age, education, personal knowledge and beliefs, mood, psychological defense mechanisms, media resonance, and how news and information are presented to the public. Moreover, various incorrect scientific practices related to disclosure, publication, and training can also fuel such a phenomenon. Therefore, in this opinion article, we seek to provide a comprehensive overview of the issues that need to be addressed to bridge the gap between science and the public and build resilience to the infodemic. In particular, we stress that the infodemic cannot be curbed by simply disproving every single false or misleading information since the belief system and the cultural or educational background are chief factors regarding the success of fake news. For this reason, we believe that the process of forming a critical sense should begin with children in schools (ie, when the mind is more receptive to new ways of learning). Furthermore, we also believe that themes such as scientific method and evidence should be at the heart of the university education of a future scientist. Indeed, both the public and scientists must be educated on the concepts of evidence and validity of sources, as well as learning how to dialogue appropriately with each other. Finally, we believe that the scientific publishing process could be greatly improved by paying reviewers for their work and by ceasing to pursue academic success at all costs.","PeriodicalId":73558,"journal":{"name":"JMIRx med","volume":"3 3","pages":"e36510"},"PeriodicalIF":0.0,"publicationDate":"2022-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9642843/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10208117","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Peer Review of “Are We Sure We Fully Understand What an Infodemic Is? A Global Perspective on Infodemiological Problems” 《我们确定我们完全理解了什么是信息学术吗?》信息流行病学问题的全球视角

JMIRx med Pub Date : 2022-07-21 DOI: 10.2196/40305

引用次数: 0

Peer Review of “Are We Sure We Fully Understand What an Infodemic Is? A Global Perspective on Infodemiological Problems” 《我们确定我们完全理解了什么是信息学术吗?》信息流行病学问题的全球视角

JMIRx med Pub Date : 2022-07-21 DOI: 10.2196/40822

Gunther Eysenbach

引用次数: 0

Peer Review of “Representing Physician Suicide Claims as Nanopublications: Proof-of-Concept Study Creating Claim Networks” 同行评审“将医生自杀索赔作为纳米出版物：创建索赔网络的概念验证研究”

JMIRx med Pub Date : 2022-07-01 DOI: 10.2196/39860

引用次数: 0

Representing Physician Suicide Claims as Nanopublications: Proof-of-Concept Study Creating Claim Networks 将医生自杀索赔描述为纳米出版物：创建索赔网络的概念验证研究

JMIRx med Pub Date : 2022-07-01 DOI: 10.2196/34979

Tiffany I. Leung, T. Kuhn, M. Dumontier

{"title":"Representing Physician Suicide Claims as Nanopublications: Proof-of-Concept Study Creating Claim Networks","authors":"Tiffany I. Leung, T. Kuhn, M. Dumontier","doi":"10.2196/34979","DOIUrl":"https://doi.org/10.2196/34979","url":null,"abstract":"Background In the poorly studied field of physician suicide, various factors can contribute to misinformation or information distortion, which in turn can influence evidence-based policies and prevention of suicide in this unique population. Objective The aim of this paper is to use nanopublications as a scientific publishing approach to establish a citation network of claims in peer-reviewed publications about the rate of suicide among US physicians. Methods A list of articles from a previously published scoping literature review on physician suicide was used to identify those articles that commented on or investigated suicidal behaviors of physician populations, including students, postgraduate trainees, and practicing physicians. The included articles were from peer-reviewed publications and asserted a claim about the annual rate of physician suicide. Manual data extraction was performed to collect article (or resource) type, title, authors, digital object identifier or URI, publication year, claim (about annual physician suicide rate), data of last access of the article (eg, for a webpage), and citations supporting the claim. Additional articles, websites, or other links were only added to the set of claims if they were cited by a peer-reviewed article already included in the data set. A nanopublication was created for each article or resource using Nanobench with an investigator-developed literature-based claim nanopublication template. Results A set of 49 claims concerning the rate of US physician suicide was represented as nanopublications. Analysis of the claim network revealed that (1) the network is not fully connected, (2) no single primary source of the claim could be identified, and (3) all end-point citations had a claim with no further citation, had no apparent claim, or could not be accessed to verify the claim. The nanopublication strategy also enabled the capture of variant claims published on a website. Conclusions Nanopublications remain to be adopted in broader scientific publishing in medicine, especially in publishing about physician mental health and suicide. This proof-of-concept study highlights an opportunity for more coordinated research efforts in the subject of physician suicide. Our work integrates these various claims and enables the verification of nonauthoritative assertions, thereby better equipping researchers to advance evidence-based knowledge and to make informed statements in the advocacy of physician suicide prevention. Representing physician suicide rate claims as nanopublications can be extended and improved in future work.","PeriodicalId":73558,"journal":{"name":"JMIRx med","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42987982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 7

Peer Review of “Representing Physician Suicide Claims as Nanopublications: Proof-of-Concept Study Creating Claim Networks” 同行评审“将医生自杀索赔作为纳米出版物：创建索赔网络的概念验证研究”

JMIRx med Pub Date : 2022-07-01 DOI: 10.2196/39889

Ariel Soares Teles

引用次数: 1

Exercise-induced hypoalgesia following proprioceptive neuromuscular facilitation and resistance training among individuals with shoulder myofascial pain: a pilot study 肩肌筋膜疼痛患者的本体感觉神经肌肉促进和阻力训练后的运动诱导痛觉减退:一项初步研究

JMIRx med Pub Date : 2022-06-28 DOI: 10.1101/2022.06.28.22276990

Z. Xu, N. An, Z. Wang

{"title":"Exercise-induced hypoalgesia following proprioceptive neuromuscular facilitation and resistance training among individuals with shoulder myofascial pain: a pilot study","authors":"Z. Xu, N. An, Z. Wang","doi":"10.1101/2022.06.28.22276990","DOIUrl":"https://doi.org/10.1101/2022.06.28.22276990","url":null,"abstract":"ObjectiveThe present study estimated the effect of proprioceptive neuromuscular facilitation (PNF) and resistance training on exercise-induced hypoalgesia (EIH) and conditioned pain modulation (CPM) among patients with myofascial pain syndrome (MPS).\u0000\u0000MethodsA total of 76 female MPS patients (aged from 18-30) with a visual analog scale (VAS) score greater than 30/100 mm were enrolled in the study. Participants were randomly assigned into 3 intervention groups, including isometric (n=18), isotonic (n=19) and PNF (n=20) exercises, and 1 control group (n=19) with no intervention. Pressure pain threshold (PPT) and the CPM responses at myofascial trigger point, arm and leg sites were assessed before and after exercise session.\u0000\u0000ResultsThere was an increase in PPT and CPM responses at trigger point, arm and leg sites in participants performed PNF and isotonic exercise, while the isometric exercise only increased PPT at leg sites. Compared with control group, both isotonic and PNF group showed greater EIH responses at the trigger points. However, only the PNF exercise significantly improved PPT and CPM responses at arm and leg sites compared to the control group.\u0000\u0000ConclusionsPNF, isotonic and isometric exercises could lead to local and global EIH effect. The increase in CPM response after PNF and isotonic exercises indicated that the EIH mechanisms of different resistance exercises may be attributed to the enhancement of the central descending pain inhibition.","PeriodicalId":73558,"journal":{"name":"JMIRx med","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"62347093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0